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Maria Kimmel Marquette

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

30 Medical Park, Suite 200, Wheeling, WV 26003-6391

PECOS Enrollment

This provider is enrolled in PECOS as MARIA MARQUETTE.

Based on the most recent information from CMS, provider Maria Kimmel Marquette is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1235443318
Provider Type
Individual
Full Name
Marquette, Maria Kimmel
Credential
PHYSICIAN ASSISTANT

Gender
Female
Sole Proprietor
No
Enumeration Date
8/2/2010
Last Updated
12/9/2011

Contact Information

Practice Location

30 Medical Park, Suite 200, Wheeling, WV 26003-6391

(304) 243-8071

(304) 243-8072

Mailing Location

30 Medical Park, Suite 200, Wheeling, WV 26003-6391

(304) 243-8071

(304) 243-8072

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer West Virginia

Maria Kimmel Marquette

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Barnes, Shelby

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Ging, Madison Paige

Smith, Abigail Maria

Wolfe, Michelle R

Stauffer, Tonda Marie

Tennant, Alexandra Kaitlin

Rohmann, Gabriel Paul

Blowers, David A